HomeMy WebLinkAbout1987-Plumbing (water heater) CITY OF OSHKOSH
N2 06745
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG - SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 5 Pe),4 PLAN NO.
OWNER � 1
DESIGNER
USE /NATURE OF WORK _
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR
Heat ❑ A/C ❑ Vent ❑ Fuel /System
Heat Loss BTU'S
ELECTRIC CONTRACTOR
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR 6
BT WH Disp WSoft
CBasin
Lay Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
—Sink LTub Eject SS Water
Other
FEES: 2�c-�-
S Valuation $ Jd Permit Fee Paid $ J Park Dedication $
ISSUED BY c� Date / Final /O.P.
In the performance of m is work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE i1I
AGENT /OWNER
DATE
ADDRESS
TELEPHONE #